NPI 1093036725 · live from the CMS NPI Registry
Nicklaus Brian Childers, NP-C
Nurse Practitioner, Family in Columbus, GA. National Provider Identifier 1093036725, active.
NPI record
| NPI | 1093036725 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 6262 Veterans Pkwy, Columbus, GA 31909 |
| Practice phone | 706-324-6661 |
| Mailing address | Po Box 370, Fortson, GA 31808 |
| Enumerated | June 16, 2010 |
| Last updated | October 28, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 1-116752 (AL) |
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | RN176292 (GA) |
| Nurse Practitioner, Family primary | 363LF0000X | APRN-NP176292 (GA) |
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | 1-116752 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.